Individual
ANNA M GATEWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
57 S MAIN ST, MIDDLETOWN, CT 06457-3606
(860) 638-0050
(860) 358-9140
Mailing address
57 S MAIN ST, MIDDLETOWN, CT 06457-3606
(860) 638-0050
(860) 358-9140
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
000829
CT
Other
Enumeration date
07/03/2008
Last updated
01/26/2018
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